PEARL PLASTIC SURGERY PLLC NPI 1063245249

NPI Information

  • NPI: 1063245249
  • Provider Name: PEARL PLASTIC SURGERY, PLLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 145 LILLY RD NE STE 102
    OLYMPIA, WA
    ZIP 98506
  • Phone: (360) 878-9300

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NPI Details

PEARL PLASTIC SURGERY, PLLC is a multi-specialty clinic center in Olympia, WA. PEARL PLASTIC SURGERY, PLLC NPI is 1063245249. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

145 LILLY RD NE STE 102
OLYMPIA, WA
ZIP 98506-028
Phone: (360) 878-9300
Fax: (360) 878-9666

The provider's authorized official is Daniel J Albershardt .
The authorized official title is Manager and has the following contact phone number (360) 438-6400.

The enumeration date for this NPI number is 8/22/2024 and was last updated on 8/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3208200000XPlastic SurgeryNo
4208600000XSurgeryNo
5261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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